<![CDATA[Objective: To describe the incidence of 3rd and 4th grade perineal
tear in Dr. Cipto Mangunkusumo hospital on the period of 2011 -
2014 and its compatibility of treatment based on RCOG guidelines.
Methods: Data were collected through medical records on women
who had vaginal delivery in Dr. Cipto Mangunkusumo hospital from
January 2011 to December 2014. This was a descriptive study with
cross sectional design.
Results: The incidence of 3rd and 4th grade perineal tear each year
were 3.55%, 4.35%, 3.95%, and 1.77% consecutively. About 100%
treatment were accompanied by consultant; 3.5% performed in
operating theatre; 90.7% were given postoperative antibiotic;
42.2% were given urinal catheter in 1x24 hour postoperative;
100% were given analgesic. About 61.4% of procedures were not
compatible with RCOG guidelines.
Conclusion: The study showed that the incidence of 3rd and 4th
grade of perineal tear was 3.66% for 4 years and the compliance to
RCOG standard was 38.6%.
[Indones J Obstet Gynecol 2017; 5-1: 35-41]
Keywords: incidence, RCOG, third and fourth grade of perineal tear,
treatment]]>
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